打击种族主义:以社区为基础的纵向课程在医学研究生水平上的影响
Harnoor Mann1, Nicholas Szoko2, Orquidia Torres3
1From the Department of Internal Medicine, UTHealth Houston, Houston, Texas.
Southern medical journal
|December 3, 2025
概括
这项研究表明,纵向的反种族主义课程显著提高了内科医生对种族主义的认识和他们的宣传技巧. 该课程是未来研究生医学教育的宝贵典范.
科学领域:
- 公共卫生 公共卫生
- 医学教育 医学教育
- 社会正义,社会正义.
背景情况:
- 种族主义被认为是一种公共卫生危机,需要医疗保健提供者采取行动.
- 虽然健康的社会决定因素在研究生医学教育中,但纵向的反种族主义课程很少.
- 这项研究解决了医疗住院计划中有效的反种族主义培训的需要.
研究的目的:
- 评估一个纵向的反种族主义课程,用于内部医学 (IM) 居民.
- 评估参与是否增加了种族主义意识和对反种族主义技能的舒适度.
- 为开发未来反种族主义教育倡议提供一个模型.
主要方法:
- 为IM居民 (2021-2022) 进行了四次1小时的教学和三次45分钟的小组会议.
- 该课程侧重于结构性种族主义,健康不平等,反种族主义临床技能和宣传,基于区域种族不平等报告.
- 使用反种族主义行为清单和色盲种族态度尺度的前后调查测量了意识和行为的变化.
主要成果:
- 观察到种族主义意识的统计学上显著增加,如色盲种族态度得分所示 (P < 0.001).
- 参与者在认识到种族特权和明显的种族问题方面显著改善 (P < 0.001).
- 根据反种族主义行为清单分数 (P = 0.008) 报告,个人倡导行为显著增加.
结论:
- 基于社区的纵向反种族主义课程有效提高了种族主义意识和反种族主义行为.
- 研究结果表明,该课程是研究生医学教育的可行模式.
- 这个倡议可以作为在医疗保健中开发更全面的反种族主义培训的基础.
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